KEVIN LEROY MALLORY
Idaho PA-846 Canceled
This Idaho license was held by KEVIN LEROY MALLORY. The license is no longer active. It was granted on 03/12/2010 and expired on 08/01/2014
LICENSE DETAILS
- License Number: PA-846
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/12/2010 (about 14 years ago)
- Expiry Date: 08/01/2014 (almost 10 years ago)
LOCATIONS
A Residential
607 W MAIN ST GRANGEVILLE ID 83530